TY - JOUR
T1 - Patterns of domestic migrations and access to childhood cancer care centres in Italy
T2 - A report from the hospital based registry of the Italian Association of Pediatric Hematology and Oncology (AIEOP)
AU - Dama, Elisa
AU - Rondelli, Roberto
AU - De Rosa, Marisa
AU - Aricò, Maurizio
AU - Carli, Modesto
AU - Bellani, Franca Fossati
AU - Magnani, Corrado
AU - Merletti, Franco
AU - Pastore, Guido
AU - Pession, Andrea
PY - 2008/10
Y1 - 2008/10
N2 - Tertiary care centres, grouped in the Italian Association of Paediatric Haematology and Oncology (AIEOP) are unevenly distributed across the country. In an attempt to describe their perceived efficacy, we matched the residence and the location of the treatment centre in 18,441 patients aged ≤15 years treated in the AIEOP network between 1989 and 2005. Overall, centres located in the central and southern regions were less appealing than those located in the North, although this trend decreased over the study period. Patients with solid tumours migrated more frequently than those with leukaemia or lymphoma. Information resulting from better knowledge of the non-random migrations for treatment of children with cancer will be useful to refine planning of the national paediatric haematology-oncology network with social and economic implications.
AB - Tertiary care centres, grouped in the Italian Association of Paediatric Haematology and Oncology (AIEOP) are unevenly distributed across the country. In an attempt to describe their perceived efficacy, we matched the residence and the location of the treatment centre in 18,441 patients aged ≤15 years treated in the AIEOP network between 1989 and 2005. Overall, centres located in the central and southern regions were less appealing than those located in the North, although this trend decreased over the study period. Patients with solid tumours migrated more frequently than those with leukaemia or lymphoma. Information resulting from better knowledge of the non-random migrations for treatment of children with cancer will be useful to refine planning of the national paediatric haematology-oncology network with social and economic implications.
KW - Care access
KW - Childhood cancer
KW - Italy
KW - Specialised cancer centres
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U2 - 10.1016/j.ejca.2008.07.023
DO - 10.1016/j.ejca.2008.07.023
M3 - Article
C2 - 18722109
AN - SCOPUS:53049110317
VL - 44
SP - 2101
EP - 2105
JO - European Journal of Cancer
JF - European Journal of Cancer
SN - 0959-8049
IS - 15
ER -